Provider Demographics
NPI:1407984073
Name:INTEGRATED PSYCHOTHERAPY, P.C.
Entity Type:Organization
Organization Name:INTEGRATED PSYCHOTHERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CROWE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:970-669-6911
Mailing Address - Street 1:2204 HOFFMAN DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-5034
Mailing Address - Country:US
Mailing Address - Phone:970-669-6911
Mailing Address - Fax:970-663-0213
Practice Address - Street 1:2204 HOFFMAN DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-5034
Practice Address - Country:US
Practice Address - Phone:970-669-6911
Practice Address - Fax:970-663-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9891221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO82969Medicare ID - Type Unspecified